Michelle Lynette Davis, ATC
Individual provider Active NPI Athletic Trainer · American Canyon, CA
NPI 1225420508 · NPPES record last updated Nov 18, 2016
Key facts
- NPI
- 1225420508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 3000 Newell Dr
American Canyon, CA 94503-1279 - Phone
- (480) 282-2663
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
3000 Newell Dr
American Canyon, CA 94503-1279
Mailing address
4912 Summer Grove Cir
Fairfield, CA 94534-3991
Phone (480) 282-2663
Other providers in American Canyon, CA
- Victor Cruz
- Henry L Curpanen
- D'S Medical Transport
- Olga Danilchenko
- Cedric Taron Davis Jr.
- Jessica Delgado
- Nia Deocampo
- Harpreet Kaur Deol
- Darian Dickerson
- Melissa Ann Dingler
All providers in American Canyon, CA · Athletic Trainer in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.